Job Description
Position: Clinical Pre- Authorization Agent
Location: Centurion, Gauteng
Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meets the requirements of clinical appropriateness, medical necessity and clinical risk management
Experience: A minimum of 2-3 years’ experience in a Managed Healthcare will be advanteagous..
Qualifications: A formal nursing qualification and registration/enrolment with SANC or a formal healthcare professional qualification (Registered / Enrolled Nurse). (MANDATORY REQUIREMENT )
KEY PERFORMANCE AREAS
- Advice on best practice health risk solutions to relevant parties
- Application of clinical intervention principles
- Advise on best practice health risk solutions to
- Excellent understanding of Call Centre technology
- Application of financial and risk assessment methodology
- Aut...